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NURS2730 HEALTH ASSESSMENT EXAM QUESTIONS AND ANSWERS A+ GRADED

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NURS2730 HEALTH ASSESSMENT EXAM QUESTIONS AND ANSWERS A+ GRADED subjective data vs objective data subjective is what the client tells you whereas objective is what the RN observes subjective - symptoms (what the patient feels, information gathered from the patient) objective - signs (information gathered from physical exams and lab tests, factual and descriptive, professional findings) what is oldcart? O nset (where sign/symptom began) L ocation (where sign/symptom is located) D uration (how long it's been going on) C haracteristics (what it feels like, how it is described, severity) A ssociated manifestations (what else is going on when experiencing sign/symptom) R elieving factors (anything the patient has tried to relieve their sign/symptom) T reatment (any interventions; ie, going to a specialist) what is the nursing process? ADPIE --------- A ssessment D iagnosis P lanning I mplementation E valuation what is a cluster of information? information that is gathered and put together to localize main area of pain (chief complaint); it furthers your clinical reasoning to make appropriate decisions nursing diagnosis vs medical diagnosis nursing diagnosis: focus on patient's physical and psychological response & identify potential problems medical diagnosis: focuses on actual disease process/illness of the patient *both use physical assessment, interviewing and observing as ways to derive the diagnosis *both are designed for planning patient care define heent in the review of systems HEENT --------- H ead E yes E ars N ose T hroat what is PERRLA? P upils are E qual R ound R eactive to L ight and A ccommodation what is EOM? E xtra O cular M ovement what is TM? T ympanic M embrane what is JVP? J ugular V enous P ressure what is RCM?

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NURS2730 HEALTH ASSESSMENT EXAM QUESTIONS
AND ANSWERS A+ GRADED

subjective data vs objective data
subjective is what the client tells you whereas objective is what the RN observes

subjective - symptoms (what the patient feels, information gathered from the patient)

objective - signs (information gathered from physical exams and lab tests, factual and
descriptive, professional findings)
what is oldcart?
O nset (where sign/symptom began)

L ocation (where sign/symptom is located)

D uration (how long it's been going on)

C haracteristics (what it feels like, how it is described, severity)

A ssociated manifestations (what else is going on when experiencing sign/symptom)

R elieving factors (anything the patient has tried to relieve their sign/symptom)

T reatment (any interventions; ie, going to a specialist)
what is the nursing process?
ADPIE
---------
A ssessment

D iagnosis

P lanning

I mplementation

E valuation
what is a cluster of information?
information that is gathered and put together to localize main area of pain (chief
complaint); it furthers your clinical reasoning to make appropriate decisions
nursing diagnosis vs medical diagnosis
nursing diagnosis: focus on patient's physical and psychological response & identify
potential problems

, medical diagnosis: focuses on actual disease process/illness of the patient

*both use physical assessment, interviewing and observing as ways to derive the
diagnosis
*both are designed for planning patient care
define heent in the review of systems
HEENT
---------
H ead

E yes

E ars

N ose

T hroat
what is PERRLA?
P upils are

E qual

R ound

R eactive to

L ight and

A ccommodation
what is EOM?
E xtra

O cular

M ovement
what is TM?
T ympanic

M embrane
what is JVP?
J ugular

V enous

P ressure
what is RCM?

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